Conservative Treatment of Spontaneous Spinal Epidural Hematoma: A Case Report.
10.4184/jkss.2006.13.4.319
- Author:
Dae Moo SHIM
1
;
Ul Oh JEUNG
;
Chang Su KIM
Author Information
1. Department of Orthopaedic Surgery, School of Medicine, Wonkwang University, Iksan, Korea. llwind@hanmail.net
- Publication Type:Case Report
- Keywords:
Thoracic vertebrae;
Spontaneous spinal epidural hematoma;
Conservative treatment
- MeSH:
Anticoagulants;
Back Pain;
Decompression;
Early Diagnosis;
Hematoma;
Hematoma, Epidural, Spinal*;
Humans;
Laminectomy;
Male;
Middle Aged;
Neurologic Manifestations;
Paralysis;
Paraplegia;
Rare Diseases;
Spine;
Thoracic Vertebrae
- From:Journal of Korean Society of Spine Surgery
2006;13(4):319-322
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A spontaneous spinal epidural hematoma (SSEH) is a rare disease that accompanies severe axial pain in the spine with various levels of paralysis depending on the location of the hematoma. A SSEH is mainly caused by a coagulating disorder or anticoagulants medication, while certain cases relate this disease with spinal inflammatory conditions. The early diagnosis of a SSEH is important for its treatment. Most cases with neurologic symptoms can be treated with a immediate laminectomy and decompression. If the neurologic symptoms improves within 12 hours, a conservative treatment is effective, however few cases have been reported. We encountered a 59 years old male without a prior medical history suffering from severe back pain and paraplegia due to a SSEH at thoracic vertebrae. The patient was successfully treated conservatively. We report this case with a review of the relevant literature.
